The QRS phasic characteristics of right ventricular hypertrophy in precordial leads

The QRS apparent phase in some electrocardiograms (ECGs) progresses in opposite directions in the two halves of the precordial leads. The genesis of the waveforms leading to such bidirectional phase properties may be given in terms of the particular shapes of the horizontal vector loops. Such phasic properties associate themselves with right ventricular hypertrophy (RVH) of type A and type C although the reverse is not necessarily true. Schematic diagrams are generally used in this article for clarity in illustration, but the method has been tried on some well-documented cases of RVH, reported by Chou and Helm, 3 with promising results.